Individual provider Active NPI

Tracy Thompson Thompson, MD

  • Obstetrics & Gynecology Physician
  • Norfolk, VA
National Provider Identifier
1770566481
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101058379 Issued in VA
Practice address
1751 Morris St BLDG D-29
Box 168
Norfolk, VA 23511-2808
Phone
(757) 836-2420
NPI assigned
Nov 28, 2005
Last updated
Mar 22, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101058379 VA Primary
Obstetrics & Gynecology Physician 207V00000X 27853 SC

Addresses

Primary practice location

1751 Morris St BLDG D-29
Box 168
Norfolk, VA 23511-2808

Mailing address

1751 Morris St BLDG D-29
Box 168
Norfolk, VA 23511-2808
Phone (757) 836-2420

Other names 1

  • Dr. Tracy Thompson Altland Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160817000113 DC Practitioner - Obstetrics/Gynecology 8426297904 Reassigns benefits to 1 organization
I20170103001216 VA Practitioner - HospitalistPractitioner - Obstetrics/Gynecology 8426297904 Reassigns benefits to 6 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
27853SCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group, LLC Obstetrics & Gynecology CurrentSince Mar 30, 2021 Accepting new patients
Bayview Physician Services, PC Obstetrics & Gynecology CurrentSince Jan 1, 2021 Accepting new patients
Virginia Physicians for Women LTD Obstetrics & Gynecology CurrentSince Jan 1, 2020 Accepting new patients
Bayview Physician Services, PC CurrentSince Jan 1, 2021 Accepting new patients
Virginia Womens Center Inc CurrentSince Jan 19, 2017 Accepting new patients
Privia Medical Group, LLC CurrentSince Mar 30, 2021 Accepting new patients
Dominion Women's Health, Inc. Obstetrics & Gynecology CurrentSince Oct 1, 2020 Accepting new patients

Locations

111 Mill Creek Pkwy
Chesapeake, VA 23323
Phone (757) 558-8210

3241 Western Branch Blvd
Ste A
Chesapeake, VA 23321

8644 Sudley Rd
#220
Manassas, VA 20110

8239 Meadowbridge Rd
Ste A
Mechanicsvlle, VA 23116
Phone (804) 730-0800

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

13710 St Francis Blvd
Midlothian, VA 23114
Phone (804) 594-7300

13801 St Francis Blvd
Ste 150
Midlothian, VA 23114

1850 Town Center Pkwy
Reston, VA 20190
Phone (703) 478-0922

5875 Bremo Rd
Ste 400
Richmond, VA 23226
Phone (804) 287-3550

7130 Glen Forest Dr
Ste 101
Richmond, VA 23226

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.405

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1770566481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 MORRIS ST BLDG D-29",
            "address_2": "BOX 168",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235112808",
            "telephone_number": "757-836-2420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 MORRIS ST BLDG D-29",
            "address_2": "BOX 168",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235112808",
            "telephone_number": "757-836-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TRACY",
        "middle_name": "THOMPSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101058379",
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "27853",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRACY",
            "last_name": "ALTLAND",
            "middle_name": "THOMPSON",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.